|
PR OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS
|
Professional
|
Both
|
$150.00
|
|
|
Service Code
|
HCPCS 98929
|
| Min. Negotiated Rate |
$43.88 |
| Max. Negotiated Rate |
$193.36 |
| Rate for Payer: Aetna Commercial |
$87.77
|
| Rate for Payer: Aetna Medicare |
$68.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.32
|
| Rate for Payer: BCBS Complete |
$46.07
|
| Rate for Payer: BCBS MAPPO |
$65.50
|
| Rate for Payer: BCBS Trust/PPO |
$193.36
|
| Rate for Payer: BCN Commercial |
$81.23
|
| Rate for Payer: BCN Medicare Advantage |
$65.50
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cofinity Commercial |
$87.77
|
| Rate for Payer: Cofinity Commercial |
$94.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.78
|
| Rate for Payer: Meridian Medicaid |
$46.07
|
| Rate for Payer: Nomi Health Commercial |
$78.60
|
| Rate for Payer: PACE SWMI |
$65.50
|
| Rate for Payer: PHP Commercial |
$91.70
|
| Rate for Payer: PHP Medicare Advantage |
$65.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$43.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$97.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$93.64
|
| Rate for Payer: Priority Health Medicare |
$65.50
|
| Rate for Payer: Priority Health Narrow Network |
$93.64
|
| Rate for Payer: Priority Health SBD |
$93.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.50
|
| Rate for Payer: UHC Medicare Advantage |
$65.50
|
| Rate for Payer: UHCCP Medicaid |
$43.88
|
| Rate for Payer: UMR Bronson Commercial |
$69.00
|
|
|
PR OSTEOPLASTY CARPAL BONE SHORTENING
|
Professional
|
Both
|
$1,938.00
|
|
|
Service Code
|
HCPCS 25394
|
| Min. Negotiated Rate |
$513.12 |
| Max. Negotiated Rate |
$1,259.70 |
| Rate for Payer: Aetna Commercial |
$1,018.41
|
| Rate for Payer: Aetna Medicare |
$790.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,018.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,094.41
|
| Rate for Payer: BCBS Complete |
$538.78
|
| Rate for Payer: BCBS MAPPO |
$760.01
|
| Rate for Payer: BCBS Trust/PPO |
$556.83
|
| Rate for Payer: BCN Commercial |
$1,154.74
|
| Rate for Payer: BCN Medicare Advantage |
$760.01
|
| Rate for Payer: Cash Price |
$1,550.40
|
| Rate for Payer: Cash Price |
$1,550.40
|
| Rate for Payer: Cofinity Commercial |
$1,018.41
|
| Rate for Payer: Cofinity Commercial |
$1,094.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$760.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$798.01
|
| Rate for Payer: Meridian Medicaid |
$538.78
|
| Rate for Payer: Nomi Health Commercial |
$912.01
|
| Rate for Payer: PACE SWMI |
$760.01
|
| Rate for Payer: PHP Commercial |
$1,064.01
|
| Rate for Payer: PHP Medicare Advantage |
$760.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$513.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,259.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,214.14
|
| Rate for Payer: Priority Health Medicare |
$760.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,214.14
|
| Rate for Payer: Priority Health SBD |
$1,214.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$760.01
|
| Rate for Payer: UHC Medicare Advantage |
$760.01
|
| Rate for Payer: UHCCP Medicaid |
$513.12
|
| Rate for Payer: UMR Bronson Commercial |
$891.48
|
|
|
PR OSTEOPLASTY FEMUR LENGTHENING
|
Professional
|
Both
|
$3,981.00
|
|
|
Service Code
|
HCPCS 27466
|
| Min. Negotiated Rate |
$767.44 |
| Max. Negotiated Rate |
$2,587.65 |
| Rate for Payer: Aetna Commercial |
$1,529.34
|
| Rate for Payer: Aetna Medicare |
$1,186.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,529.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,643.47
|
| Rate for Payer: BCBS Complete |
$805.81
|
| Rate for Payer: BCBS MAPPO |
$1,141.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,594.94
|
| Rate for Payer: BCN Commercial |
$1,734.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,141.30
|
| Rate for Payer: Cash Price |
$3,184.80
|
| Rate for Payer: Cash Price |
$3,184.80
|
| Rate for Payer: Cofinity Commercial |
$1,529.34
|
| Rate for Payer: Cofinity Commercial |
$1,643.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,141.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,198.36
|
| Rate for Payer: Meridian Medicaid |
$805.81
|
| Rate for Payer: Nomi Health Commercial |
$1,369.56
|
| Rate for Payer: PACE SWMI |
$1,141.30
|
| Rate for Payer: PHP Commercial |
$1,597.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,141.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$767.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,587.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,819.68
|
| Rate for Payer: Priority Health Medicare |
$1,141.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,819.68
|
| Rate for Payer: Priority Health SBD |
$1,819.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,141.30
|
| Rate for Payer: UHC Medicare Advantage |
$1,141.30
|
| Rate for Payer: UHCCP Medicaid |
$767.44
|
| Rate for Payer: UMR Bronson Commercial |
$1,831.26
|
|
|
PR OSTEOPLASTY HUMERUS
|
Professional
|
Both
|
$3,335.00
|
|
|
Service Code
|
HCPCS 24420
|
| Min. Negotiated Rate |
$306.41 |
| Max. Negotiated Rate |
$2,167.75 |
| Rate for Payer: Aetna Commercial |
$1,362.15
|
| Rate for Payer: Aetna Medicare |
$1,057.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,362.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,463.80
|
| Rate for Payer: BCBS Complete |
$723.51
|
| Rate for Payer: BCBS MAPPO |
$1,016.53
|
| Rate for Payer: BCBS Trust/PPO |
$306.41
|
| Rate for Payer: BCN Commercial |
$1,567.68
|
| Rate for Payer: BCN Medicare Advantage |
$1,016.53
|
| Rate for Payer: Cash Price |
$2,668.00
|
| Rate for Payer: Cash Price |
$2,668.00
|
| Rate for Payer: Cofinity Commercial |
$1,362.15
|
| Rate for Payer: Cofinity Commercial |
$1,463.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,016.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,067.36
|
| Rate for Payer: Meridian Medicaid |
$723.51
|
| Rate for Payer: Nomi Health Commercial |
$1,219.84
|
| Rate for Payer: PACE SWMI |
$1,016.53
|
| Rate for Payer: PHP Commercial |
$1,423.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,016.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$689.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,167.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,639.04
|
| Rate for Payer: Priority Health Medicare |
$1,016.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,639.04
|
| Rate for Payer: Priority Health SBD |
$1,639.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,016.53
|
| Rate for Payer: UHC Medicare Advantage |
$1,016.53
|
| Rate for Payer: UHCCP Medicaid |
$689.06
|
| Rate for Payer: UMR Bronson Commercial |
$1,534.10
|
|
|
PR OSTEOPLASTY RADIUS/ULNA SHORTENING
|
Professional
|
Both
|
$2,689.00
|
|
|
Service Code
|
HCPCS 25390
|
| Min. Negotiated Rate |
$502.47 |
| Max. Negotiated Rate |
$1,747.85 |
| Rate for Payer: Aetna Commercial |
$995.49
|
| Rate for Payer: Aetna Medicare |
$772.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,069.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$995.49
|
| Rate for Payer: BCBS Complete |
$527.59
|
| Rate for Payer: BCBS MAPPO |
$742.90
|
| Rate for Payer: BCBS Trust/PPO |
$580.07
|
| Rate for Payer: BCN Commercial |
$1,133.25
|
| Rate for Payer: BCN Medicare Advantage |
$742.90
|
| Rate for Payer: Cash Price |
$2,151.20
|
| Rate for Payer: Cash Price |
$2,151.20
|
| Rate for Payer: Cofinity Commercial |
$1,069.78
|
| Rate for Payer: Cofinity Commercial |
$995.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$742.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$780.04
|
| Rate for Payer: Meridian Medicaid |
$527.59
|
| Rate for Payer: Nomi Health Commercial |
$891.48
|
| Rate for Payer: PACE SWMI |
$742.90
|
| Rate for Payer: PHP Commercial |
$1,040.06
|
| Rate for Payer: PHP Medicare Advantage |
$742.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$502.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,747.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,188.70
|
| Rate for Payer: Priority Health Medicare |
$742.90
|
| Rate for Payer: Priority Health Narrow Network |
$1,188.70
|
| Rate for Payer: Priority Health SBD |
$1,188.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$742.90
|
| Rate for Payer: UHC Medicare Advantage |
$742.90
|
| Rate for Payer: UHCCP Medicaid |
$502.47
|
| Rate for Payer: UMR Bronson Commercial |
$1,236.94
|
|
|
PR OSTEOPLASTY TIBIA&FIBULA LENGTHENING/SHORTENING
|
Professional
|
Both
|
$4,771.00
|
|
|
Service Code
|
HCPCS 27715
|
| Min. Negotiated Rate |
$226.28 |
| Max. Negotiated Rate |
$3,101.15 |
| Rate for Payer: Aetna Commercial |
$1,384.02
|
| Rate for Payer: Aetna Medicare |
$1,074.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,384.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,487.30
|
| Rate for Payer: BCBS Complete |
$729.77
|
| Rate for Payer: BCBS MAPPO |
$1,032.85
|
| Rate for Payer: BCBS Trust/PPO |
$226.28
|
| Rate for Payer: BCN Commercial |
$1,571.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,032.85
|
| Rate for Payer: Cash Price |
$3,816.80
|
| Rate for Payer: Cash Price |
$3,816.80
|
| Rate for Payer: Cofinity Commercial |
$1,384.02
|
| Rate for Payer: Cofinity Commercial |
$1,487.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,032.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,084.49
|
| Rate for Payer: Meridian Medicaid |
$729.77
|
| Rate for Payer: Nomi Health Commercial |
$1,239.42
|
| Rate for Payer: PACE SWMI |
$1,032.85
|
| Rate for Payer: PHP Commercial |
$1,445.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,032.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$695.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,101.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,648.72
|
| Rate for Payer: Priority Health Medicare |
$1,032.85
|
| Rate for Payer: Priority Health Narrow Network |
$1,648.72
|
| Rate for Payer: Priority Health SBD |
$1,648.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,032.85
|
| Rate for Payer: UHC Medicare Advantage |
$1,032.85
|
| Rate for Payer: UHCCP Medicaid |
$695.02
|
| Rate for Payer: UMR Bronson Commercial |
$2,194.66
|
|
|
PR OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL
|
Professional
|
Both
|
$7,871.00
|
|
|
Service Code
|
HCPCS 27165
|
| Min. Negotiated Rate |
$885.23 |
| Max. Negotiated Rate |
$5,116.15 |
| Rate for Payer: Aetna Commercial |
$1,765.78
|
| Rate for Payer: Aetna Medicare |
$1,370.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,765.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,897.56
|
| Rate for Payer: BCBS Complete |
$929.49
|
| Rate for Payer: BCBS MAPPO |
$1,317.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,570.11
|
| Rate for Payer: BCN Commercial |
$2,010.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,317.75
|
| Rate for Payer: Cash Price |
$6,296.80
|
| Rate for Payer: Cash Price |
$6,296.80
|
| Rate for Payer: Cofinity Commercial |
$1,765.78
|
| Rate for Payer: Cofinity Commercial |
$1,897.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,317.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,383.64
|
| Rate for Payer: Meridian Medicaid |
$929.49
|
| Rate for Payer: Nomi Health Commercial |
$1,581.30
|
| Rate for Payer: PACE SWMI |
$1,317.75
|
| Rate for Payer: PHP Commercial |
$1,844.85
|
| Rate for Payer: PHP Medicare Advantage |
$1,317.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$885.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,116.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,102.61
|
| Rate for Payer: Priority Health Medicare |
$1,317.75
|
| Rate for Payer: Priority Health Narrow Network |
$2,102.61
|
| Rate for Payer: Priority Health SBD |
$2,102.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,317.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,317.75
|
| Rate for Payer: UHCCP Medicaid |
$885.23
|
| Rate for Payer: UMR Bronson Commercial |
$3,620.66
|
|
|
PR OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION
|
Professional
|
Both
|
$1,746.00
|
|
|
Service Code
|
HCPCS 28300
|
| Min. Negotiated Rate |
$423.44 |
| Max. Negotiated Rate |
$1,703.80 |
| Rate for Payer: Aetna Commercial |
$840.25
|
| Rate for Payer: Aetna Medicare |
$652.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$840.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$902.95
|
| Rate for Payer: BCBS Complete |
$444.61
|
| Rate for Payer: BCBS MAPPO |
$627.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,703.80
|
| Rate for Payer: BCN Commercial |
$953.41
|
| Rate for Payer: BCN Medicare Advantage |
$627.05
|
| Rate for Payer: Cash Price |
$1,396.80
|
| Rate for Payer: Cash Price |
$1,396.80
|
| Rate for Payer: Cofinity Commercial |
$840.25
|
| Rate for Payer: Cofinity Commercial |
$902.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$627.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$658.40
|
| Rate for Payer: Meridian Medicaid |
$444.61
|
| Rate for Payer: Nomi Health Commercial |
$752.46
|
| Rate for Payer: PACE SWMI |
$627.05
|
| Rate for Payer: PHP Commercial |
$877.87
|
| Rate for Payer: PHP Medicare Advantage |
$627.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,134.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,002.45
|
| Rate for Payer: Priority Health Medicare |
$627.05
|
| Rate for Payer: Priority Health Narrow Network |
$1,002.45
|
| Rate for Payer: Priority Health SBD |
$1,002.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$627.05
|
| Rate for Payer: UHC Medicare Advantage |
$627.05
|
| Rate for Payer: UHCCP Medicaid |
$423.44
|
| Rate for Payer: UMR Bronson Commercial |
$803.16
|
|
|
PR OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION
|
Professional
|
Both
|
$1,729.00
|
|
|
Service Code
|
HCPCS 23480
|
| Min. Negotiated Rate |
$134.57 |
| Max. Negotiated Rate |
$1,266.56 |
| Rate for Payer: Aetna Commercial |
$1,062.83
|
| Rate for Payer: Aetna Medicare |
$824.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,062.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,142.15
|
| Rate for Payer: BCBS Complete |
$561.58
|
| Rate for Payer: BCBS MAPPO |
$793.16
|
| Rate for Payer: BCBS Trust/PPO |
$134.57
|
| Rate for Payer: BCN Commercial |
$1,207.03
|
| Rate for Payer: BCN Medicare Advantage |
$793.16
|
| Rate for Payer: Cash Price |
$1,383.20
|
| Rate for Payer: Cash Price |
$1,383.20
|
| Rate for Payer: Cofinity Commercial |
$1,062.83
|
| Rate for Payer: Cofinity Commercial |
$1,142.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$793.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$832.82
|
| Rate for Payer: Meridian Medicaid |
$561.58
|
| Rate for Payer: Nomi Health Commercial |
$951.79
|
| Rate for Payer: PACE SWMI |
$793.16
|
| Rate for Payer: PHP Commercial |
$1,110.42
|
| Rate for Payer: PHP Medicare Advantage |
$793.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$534.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,123.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,266.56
|
| Rate for Payer: Priority Health Medicare |
$793.16
|
| Rate for Payer: Priority Health Narrow Network |
$1,266.56
|
| Rate for Payer: Priority Health SBD |
$1,266.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$793.16
|
| Rate for Payer: UHC Medicare Advantage |
$793.16
|
| Rate for Payer: UHCCP Medicaid |
$534.84
|
| Rate for Payer: UMR Bronson Commercial |
$795.34
|
|
|
PR OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL
|
Professional
|
Both
|
$2,427.00
|
|
|
Service Code
|
HCPCS 23485
|
| Min. Negotiated Rate |
$168.53 |
| Max. Negotiated Rate |
$1,577.55 |
| Rate for Payer: Aetna Commercial |
$1,232.32
|
| Rate for Payer: Aetna Medicare |
$956.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,232.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,324.28
|
| Rate for Payer: BCBS Complete |
$649.71
|
| Rate for Payer: BCBS MAPPO |
$919.64
|
| Rate for Payer: BCBS Trust/PPO |
$168.53
|
| Rate for Payer: BCN Commercial |
$1,399.57
|
| Rate for Payer: BCN Medicare Advantage |
$919.64
|
| Rate for Payer: Cash Price |
$1,941.60
|
| Rate for Payer: Cash Price |
$1,941.60
|
| Rate for Payer: Cofinity Commercial |
$1,232.32
|
| Rate for Payer: Cofinity Commercial |
$1,324.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$919.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$965.62
|
| Rate for Payer: Meridian Medicaid |
$649.71
|
| Rate for Payer: Nomi Health Commercial |
$1,103.57
|
| Rate for Payer: PACE SWMI |
$919.64
|
| Rate for Payer: PHP Commercial |
$1,287.50
|
| Rate for Payer: PHP Medicare Advantage |
$919.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$618.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,577.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,468.06
|
| Rate for Payer: Priority Health Medicare |
$919.64
|
| Rate for Payer: Priority Health Narrow Network |
$1,468.06
|
| Rate for Payer: Priority Health SBD |
$1,468.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$919.64
|
| Rate for Payer: UHC Medicare Advantage |
$919.64
|
| Rate for Payer: UHCCP Medicaid |
$618.77
|
| Rate for Payer: UMR Bronson Commercial |
$1,116.42
|
|
|
PR OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION
|
Professional
|
Both
|
$2,914.00
|
|
|
Service Code
|
HCPCS 27450
|
| Min. Negotiated Rate |
$653.27 |
| Max. Negotiated Rate |
$1,894.10 |
| Rate for Payer: Aetna Commercial |
$1,300.58
|
| Rate for Payer: Aetna Medicare |
$1,009.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,300.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,397.64
|
| Rate for Payer: BCBS Complete |
$685.93
|
| Rate for Payer: BCBS MAPPO |
$970.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,095.69
|
| Rate for Payer: BCN Commercial |
$1,489.49
|
| Rate for Payer: BCN Medicare Advantage |
$970.58
|
| Rate for Payer: Cash Price |
$2,331.20
|
| Rate for Payer: Cash Price |
$2,331.20
|
| Rate for Payer: Cofinity Commercial |
$1,300.58
|
| Rate for Payer: Cofinity Commercial |
$1,397.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$970.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,019.11
|
| Rate for Payer: Meridian Medicaid |
$685.93
|
| Rate for Payer: Nomi Health Commercial |
$1,164.70
|
| Rate for Payer: PACE SWMI |
$970.58
|
| Rate for Payer: PHP Commercial |
$1,358.81
|
| Rate for Payer: PHP Medicare Advantage |
$970.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$653.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,894.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,552.53
|
| Rate for Payer: Priority Health Medicare |
$970.58
|
| Rate for Payer: Priority Health Narrow Network |
$1,552.53
|
| Rate for Payer: Priority Health SBD |
$1,552.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$970.58
|
| Rate for Payer: UHC Medicare Advantage |
$970.58
|
| Rate for Payer: UHCCP Medicaid |
$653.27
|
| Rate for Payer: UMR Bronson Commercial |
$1,340.44
|
|
|
PR OSTEOTOMY FIBULA
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 27707
|
| Min. Negotiated Rate |
$266.46 |
| Max. Negotiated Rate |
$2,447.61 |
| Rate for Payer: Aetna Commercial |
$522.29
|
| Rate for Payer: Aetna Medicare |
$405.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$522.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$561.27
|
| Rate for Payer: BCBS Complete |
$279.78
|
| Rate for Payer: BCBS MAPPO |
$389.77
|
| Rate for Payer: BCBS Trust/PPO |
$2,447.61
|
| Rate for Payer: BCN Commercial |
$598.63
|
| Rate for Payer: BCN Medicare Advantage |
$389.77
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$522.29
|
| Rate for Payer: Cofinity Commercial |
$561.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$389.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$409.26
|
| Rate for Payer: Meridian Medicaid |
$279.78
|
| Rate for Payer: Nomi Health Commercial |
$467.72
|
| Rate for Payer: PACE SWMI |
$389.77
|
| Rate for Payer: PHP Commercial |
$545.68
|
| Rate for Payer: PHP Medicare Advantage |
$389.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$266.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$630.99
|
| Rate for Payer: Priority Health Medicare |
$389.77
|
| Rate for Payer: Priority Health Narrow Network |
$630.99
|
| Rate for Payer: Priority Health SBD |
$630.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$389.77
|
| Rate for Payer: UHC Medicare Advantage |
$389.77
|
| Rate for Payer: UHCCP Medicaid |
$266.46
|
| Rate for Payer: UMR Bronson Commercial |
$598.46
|
|
|
PR OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION
|
Professional
|
Both
|
$1,466.00
|
|
|
Service Code
|
HCPCS 24400
|
| Min. Negotiated Rate |
$227.70 |
| Max. Negotiated Rate |
$1,278.76 |
| Rate for Payer: Aetna Commercial |
$1,071.32
|
| Rate for Payer: Aetna Medicare |
$831.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,071.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,151.27
|
| Rate for Payer: BCBS Complete |
$567.18
|
| Rate for Payer: BCBS MAPPO |
$799.49
|
| Rate for Payer: BCBS Trust/PPO |
$227.70
|
| Rate for Payer: BCN Commercial |
$1,218.76
|
| Rate for Payer: BCN Medicare Advantage |
$799.49
|
| Rate for Payer: Cash Price |
$1,172.80
|
| Rate for Payer: Cash Price |
$1,172.80
|
| Rate for Payer: Cofinity Commercial |
$1,071.32
|
| Rate for Payer: Cofinity Commercial |
$1,151.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$799.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$839.46
|
| Rate for Payer: Meridian Medicaid |
$567.18
|
| Rate for Payer: Nomi Health Commercial |
$959.39
|
| Rate for Payer: PACE SWMI |
$799.49
|
| Rate for Payer: PHP Commercial |
$1,119.29
|
| Rate for Payer: PHP Medicare Advantage |
$799.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$540.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$952.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,278.76
|
| Rate for Payer: Priority Health Medicare |
$799.49
|
| Rate for Payer: Priority Health Narrow Network |
$1,278.76
|
| Rate for Payer: Priority Health SBD |
$1,278.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$799.49
|
| Rate for Payer: UHC Medicare Advantage |
$799.49
|
| Rate for Payer: UHCCP Medicaid |
$540.17
|
| Rate for Payer: UMR Bronson Commercial |
$674.36
|
|
|
PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE
|
Professional
|
Both
|
$2,618.00
|
|
|
Service Code
|
HCPCS 27146
|
| Min. Negotiated Rate |
$827.93 |
| Max. Negotiated Rate |
$1,961.65 |
| Rate for Payer: Aetna Commercial |
$1,651.67
|
| Rate for Payer: Aetna Medicare |
$1,281.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,651.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,774.93
|
| Rate for Payer: BCBS Complete |
$869.33
|
| Rate for Payer: BCBS MAPPO |
$1,232.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,896.07
|
| Rate for Payer: BCN Commercial |
$1,855.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,232.59
|
| Rate for Payer: Cash Price |
$2,094.40
|
| Rate for Payer: Cash Price |
$2,094.40
|
| Rate for Payer: Cofinity Commercial |
$1,651.67
|
| Rate for Payer: Cofinity Commercial |
$1,774.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,232.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,294.22
|
| Rate for Payer: Meridian Medicaid |
$869.33
|
| Rate for Payer: Nomi Health Commercial |
$1,479.11
|
| Rate for Payer: PACE SWMI |
$1,232.59
|
| Rate for Payer: PHP Commercial |
$1,725.63
|
| Rate for Payer: PHP Medicare Advantage |
$1,232.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$827.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,701.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,961.65
|
| Rate for Payer: Priority Health Medicare |
$1,232.59
|
| Rate for Payer: Priority Health Narrow Network |
$1,961.65
|
| Rate for Payer: Priority Health SBD |
$1,961.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,232.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,232.59
|
| Rate for Payer: UHCCP Medicaid |
$827.93
|
| Rate for Payer: UMR Bronson Commercial |
$1,204.28
|
|
|
PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT
|
Professional
|
Both
|
$3,285.00
|
|
|
Service Code
|
HCPCS 27151
|
| Min. Negotiated Rate |
$1,020.06 |
| Max. Negotiated Rate |
$2,541.32 |
| Rate for Payer: Aetna Commercial |
$2,040.04
|
| Rate for Payer: Aetna Medicare |
$1,583.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,040.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,192.28
|
| Rate for Payer: BCBS Complete |
$1,071.06
|
| Rate for Payer: BCBS MAPPO |
$1,522.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,915.09
|
| Rate for Payer: BCN Commercial |
$2,541.32
|
| Rate for Payer: BCN Medicare Advantage |
$1,522.42
|
| Rate for Payer: Cash Price |
$2,628.00
|
| Rate for Payer: Cash Price |
$2,628.00
|
| Rate for Payer: Cofinity Commercial |
$2,040.04
|
| Rate for Payer: Cofinity Commercial |
$2,192.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,522.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,598.54
|
| Rate for Payer: Meridian Medicaid |
$1,071.06
|
| Rate for Payer: Nomi Health Commercial |
$1,826.90
|
| Rate for Payer: PACE SWMI |
$1,522.42
|
| Rate for Payer: PHP Commercial |
$2,131.39
|
| Rate for Payer: PHP Medicare Advantage |
$1,522.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,020.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,135.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,417.60
|
| Rate for Payer: Priority Health Medicare |
$1,522.42
|
| Rate for Payer: Priority Health Narrow Network |
$2,417.60
|
| Rate for Payer: Priority Health SBD |
$2,417.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,522.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,522.42
|
| Rate for Payer: UHCCP Medicaid |
$1,020.06
|
| Rate for Payer: UMR Bronson Commercial |
$1,511.10
|
|
|
PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ
|
Professional
|
Both
|
$2,239.00
|
|
|
Service Code
|
HCPCS 27147
|
| Min. Negotiated Rate |
$944.44 |
| Max. Negotiated Rate |
$2,238.99 |
| Rate for Payer: Cash Price |
$1,791.20
|
| Rate for Payer: Aetna Commercial |
$1,887.19
|
| Rate for Payer: Aetna Medicare |
$1,464.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,887.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,028.02
|
| Rate for Payer: BCBS Complete |
$991.66
|
| Rate for Payer: BCBS MAPPO |
$1,408.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,559.54
|
| Rate for Payer: BCN Commercial |
$2,135.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,408.35
|
| Rate for Payer: Cash Price |
$1,791.20
|
| Rate for Payer: Cofinity Commercial |
$1,887.19
|
| Rate for Payer: Cofinity Commercial |
$2,028.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,408.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,478.77
|
| Rate for Payer: Meridian Medicaid |
$991.66
|
| Rate for Payer: Nomi Health Commercial |
$1,690.02
|
| Rate for Payer: PACE SWMI |
$1,408.35
|
| Rate for Payer: PHP Commercial |
$1,971.69
|
| Rate for Payer: PHP Medicare Advantage |
$1,408.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$944.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,455.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,238.99
|
| Rate for Payer: Priority Health Medicare |
$1,408.35
|
| Rate for Payer: Priority Health Narrow Network |
$2,238.99
|
| Rate for Payer: Priority Health SBD |
$2,238.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,408.35
|
| Rate for Payer: UHC Medicare Advantage |
$1,408.35
|
| Rate for Payer: UHCCP Medicaid |
$944.44
|
| Rate for Payer: UMR Bronson Commercial |
$1,029.94
|
|
|
PR OSTEOTOMY METACARPAL EACH
|
Professional
|
Both
|
$1,785.00
|
|
|
Service Code
|
HCPCS 26565
|
| Min. Negotiated Rate |
$460.93 |
| Max. Negotiated Rate |
$1,160.25 |
| Rate for Payer: Aetna Commercial |
$895.68
|
| Rate for Payer: Aetna Medicare |
$695.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$895.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$962.52
|
| Rate for Payer: BCBS Complete |
$483.98
|
| Rate for Payer: BCBS MAPPO |
$668.42
|
| Rate for Payer: BCBS Trust/PPO |
$668.83
|
| Rate for Payer: BCN Commercial |
$1,062.38
|
| Rate for Payer: BCN Medicare Advantage |
$668.42
|
| Rate for Payer: Cash Price |
$1,428.00
|
| Rate for Payer: Cash Price |
$1,428.00
|
| Rate for Payer: Cofinity Commercial |
$895.68
|
| Rate for Payer: Cofinity Commercial |
$962.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$668.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$701.84
|
| Rate for Payer: Meridian Medicaid |
$483.98
|
| Rate for Payer: Nomi Health Commercial |
$802.10
|
| Rate for Payer: PACE SWMI |
$668.42
|
| Rate for Payer: PHP Commercial |
$935.79
|
| Rate for Payer: PHP Medicare Advantage |
$668.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$460.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,160.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,100.16
|
| Rate for Payer: Priority Health Medicare |
$668.42
|
| Rate for Payer: Priority Health Narrow Network |
$1,100.16
|
| Rate for Payer: Priority Health SBD |
$1,100.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$668.42
|
| Rate for Payer: UHC Medicare Advantage |
$668.42
|
| Rate for Payer: UHCCP Medicaid |
$460.93
|
| Rate for Payer: UMR Bronson Commercial |
$821.10
|
|
|
PR OSTEOTOMY PHALANX FINGER EACH
|
Professional
|
Both
|
$1,586.00
|
|
|
Service Code
|
HCPCS 26567
|
| Min. Negotiated Rate |
$140.53 |
| Max. Negotiated Rate |
$1,113.39 |
| Rate for Payer: Aetna Commercial |
$903.83
|
| Rate for Payer: Aetna Medicare |
$701.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$903.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$971.28
|
| Rate for Payer: BCBS Complete |
$488.23
|
| Rate for Payer: BCBS MAPPO |
$674.50
|
| Rate for Payer: BCBS Trust/PPO |
$140.53
|
| Rate for Payer: BCN Commercial |
$1,070.70
|
| Rate for Payer: BCN Medicare Advantage |
$674.50
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cofinity Commercial |
$903.83
|
| Rate for Payer: Cofinity Commercial |
$971.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$674.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$708.22
|
| Rate for Payer: Meridian Medicaid |
$488.23
|
| Rate for Payer: Nomi Health Commercial |
$809.40
|
| Rate for Payer: PACE SWMI |
$674.50
|
| Rate for Payer: PHP Commercial |
$944.30
|
| Rate for Payer: PHP Medicare Advantage |
$674.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$464.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,030.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,113.39
|
| Rate for Payer: Priority Health Medicare |
$674.50
|
| Rate for Payer: Priority Health Narrow Network |
$1,113.39
|
| Rate for Payer: Priority Health SBD |
$1,113.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$674.50
|
| Rate for Payer: UHC Medicare Advantage |
$674.50
|
| Rate for Payer: UHCCP Medicaid |
$464.98
|
| Rate for Payer: UMR Bronson Commercial |
$729.56
|
|
|
PR OSTEOTOMY RADIUS DISTAL THIRD
|
Professional
|
Both
|
$2,228.00
|
|
|
Service Code
|
HCPCS 25350
|
| Min. Negotiated Rate |
$441.98 |
| Max. Negotiated Rate |
$1,448.20 |
| Rate for Payer: Aetna Commercial |
$873.61
|
| Rate for Payer: Aetna Medicare |
$678.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$873.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$938.81
|
| Rate for Payer: BCBS Complete |
$464.08
|
| Rate for Payer: BCBS MAPPO |
$651.95
|
| Rate for Payer: BCBS Trust/PPO |
$604.38
|
| Rate for Payer: BCN Commercial |
$996.90
|
| Rate for Payer: BCN Medicare Advantage |
$651.95
|
| Rate for Payer: Cash Price |
$1,782.40
|
| Rate for Payer: Cash Price |
$1,782.40
|
| Rate for Payer: Cofinity Commercial |
$873.61
|
| Rate for Payer: Cofinity Commercial |
$938.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$651.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$684.55
|
| Rate for Payer: Meridian Medicaid |
$464.08
|
| Rate for Payer: Nomi Health Commercial |
$782.34
|
| Rate for Payer: PACE SWMI |
$651.95
|
| Rate for Payer: PHP Commercial |
$912.73
|
| Rate for Payer: PHP Medicare Advantage |
$651.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$441.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,448.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,046.22
|
| Rate for Payer: Priority Health Medicare |
$651.95
|
| Rate for Payer: Priority Health Narrow Network |
$1,046.22
|
| Rate for Payer: Priority Health SBD |
$1,046.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$651.95
|
| Rate for Payer: UHC Medicare Advantage |
$651.95
|
| Rate for Payer: UHCCP Medicaid |
$441.98
|
| Rate for Payer: UMR Bronson Commercial |
$1,024.88
|
|
|
PR OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD
|
Professional
|
Both
|
$1,696.00
|
|
|
Service Code
|
HCPCS 25355
|
| Min. Negotiated Rate |
$500.12 |
| Max. Negotiated Rate |
$1,184.62 |
| Rate for Payer: Aetna Commercial |
$992.07
|
| Rate for Payer: Aetna Medicare |
$769.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,066.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$992.07
|
| Rate for Payer: BCBS Complete |
$525.13
|
| Rate for Payer: BCBS MAPPO |
$740.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,041.28
|
| Rate for Payer: BCN Commercial |
$1,126.89
|
| Rate for Payer: BCN Medicare Advantage |
$740.35
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cofinity Commercial |
$1,066.10
|
| Rate for Payer: Cofinity Commercial |
$992.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$740.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$777.37
|
| Rate for Payer: Meridian Medicaid |
$525.13
|
| Rate for Payer: Nomi Health Commercial |
$888.42
|
| Rate for Payer: PACE SWMI |
$740.35
|
| Rate for Payer: PHP Commercial |
$1,036.49
|
| Rate for Payer: PHP Medicare Advantage |
$740.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$500.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,102.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,184.62
|
| Rate for Payer: Priority Health Medicare |
$740.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,184.62
|
| Rate for Payer: Priority Health SBD |
$1,184.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$740.35
|
| Rate for Payer: UHC Medicare Advantage |
$740.35
|
| Rate for Payer: UHCCP Medicaid |
$500.12
|
| Rate for Payer: UMR Bronson Commercial |
$780.16
|
|
|
PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM
|
Professional
|
Both
|
$2,710.00
|
|
|
Service Code
|
HCPCS 22208
|
| Min. Negotiated Rate |
$378.08 |
| Max. Negotiated Rate |
$13,048.08 |
| Rate for Payer: Aetna Commercial |
$774.60
|
| Rate for Payer: Aetna Medicare |
$601.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$774.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$832.41
|
| Rate for Payer: BCBS Complete |
$396.98
|
| Rate for Payer: BCBS MAPPO |
$578.06
|
| Rate for Payer: BCBS Trust/PPO |
$13,048.08
|
| Rate for Payer: BCN Commercial |
$854.70
|
| Rate for Payer: BCN Medicare Advantage |
$578.06
|
| Rate for Payer: Cash Price |
$2,168.00
|
| Rate for Payer: Cash Price |
$2,168.00
|
| Rate for Payer: Cofinity Commercial |
$774.60
|
| Rate for Payer: Cofinity Commercial |
$832.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$578.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$606.96
|
| Rate for Payer: Meridian Medicaid |
$396.98
|
| Rate for Payer: Nomi Health Commercial |
$693.67
|
| Rate for Payer: PACE SWMI |
$578.06
|
| Rate for Payer: PHP Commercial |
$809.28
|
| Rate for Payer: PHP Medicare Advantage |
$578.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$378.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,761.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$897.12
|
| Rate for Payer: Priority Health Medicare |
$578.06
|
| Rate for Payer: Priority Health Narrow Network |
$897.12
|
| Rate for Payer: Priority Health SBD |
$897.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$578.06
|
| Rate for Payer: UHC Medicare Advantage |
$578.06
|
| Rate for Payer: UHCCP Medicaid |
$378.08
|
| Rate for Payer: UMR Bronson Commercial |
$1,246.60
|
|
|
PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR
|
Professional
|
Both
|
$5,015.00
|
|
|
Service Code
|
HCPCS 22207
|
| Min. Negotiated Rate |
$950.50 |
| Max. Negotiated Rate |
$3,686.70 |
| Rate for Payer: Aetna Commercial |
$3,129.85
|
| Rate for Payer: Aetna Medicare |
$2,429.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,129.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,363.42
|
| Rate for Payer: BCBS Complete |
$1,624.59
|
| Rate for Payer: BCBS MAPPO |
$2,335.71
|
| Rate for Payer: BCBS Trust/PPO |
$950.50
|
| Rate for Payer: BCN Commercial |
$3,510.17
|
| Rate for Payer: BCN Medicare Advantage |
$2,335.71
|
| Rate for Payer: Cash Price |
$4,012.00
|
| Rate for Payer: Cash Price |
$4,012.00
|
| Rate for Payer: Cofinity Commercial |
$3,129.85
|
| Rate for Payer: Cofinity Commercial |
$3,363.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,335.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,452.50
|
| Rate for Payer: Meridian Medicaid |
$1,624.59
|
| Rate for Payer: Nomi Health Commercial |
$2,802.85
|
| Rate for Payer: PACE SWMI |
$2,335.71
|
| Rate for Payer: PHP Commercial |
$3,269.99
|
| Rate for Payer: PHP Medicare Advantage |
$2,335.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,547.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,259.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,686.70
|
| Rate for Payer: Priority Health Medicare |
$2,335.71
|
| Rate for Payer: Priority Health Narrow Network |
$3,686.70
|
| Rate for Payer: Priority Health SBD |
$3,686.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,335.71
|
| Rate for Payer: UHC Medicare Advantage |
$2,335.71
|
| Rate for Payer: UHCCP Medicaid |
$1,547.23
|
| Rate for Payer: UMR Bronson Commercial |
$2,306.90
|
|
|
PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC
|
Professional
|
Both
|
$5,121.00
|
|
|
Service Code
|
HCPCS 22206
|
| Min. Negotiated Rate |
$1,588.55 |
| Max. Negotiated Rate |
$17,177.60 |
| Rate for Payer: Aetna Commercial |
$3,222.35
|
| Rate for Payer: Aetna Medicare |
$2,500.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,222.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,462.83
|
| Rate for Payer: BCBS Complete |
$1,667.98
|
| Rate for Payer: BCBS MAPPO |
$2,404.74
|
| Rate for Payer: BCBS Trust/PPO |
$17,177.60
|
| Rate for Payer: BCN Commercial |
$3,582.01
|
| Rate for Payer: BCN Medicare Advantage |
$2,404.74
|
| Rate for Payer: Cash Price |
$4,096.80
|
| Rate for Payer: Cash Price |
$4,096.80
|
| Rate for Payer: Cofinity Commercial |
$3,222.35
|
| Rate for Payer: Cofinity Commercial |
$3,462.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,404.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,524.98
|
| Rate for Payer: Meridian Medicaid |
$1,667.98
|
| Rate for Payer: Nomi Health Commercial |
$2,885.69
|
| Rate for Payer: PACE SWMI |
$2,404.74
|
| Rate for Payer: PHP Commercial |
$3,366.64
|
| Rate for Payer: PHP Medicare Advantage |
$2,404.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,588.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,328.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,768.62
|
| Rate for Payer: Priority Health Medicare |
$2,404.74
|
| Rate for Payer: Priority Health Narrow Network |
$3,768.62
|
| Rate for Payer: Priority Health SBD |
$3,768.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,404.74
|
| Rate for Payer: UHC Medicare Advantage |
$2,404.74
|
| Rate for Payer: UHCCP Medicaid |
$1,588.55
|
| Rate for Payer: UMR Bronson Commercial |
$2,355.66
|
|
|
PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV
|
Professional
|
Both
|
$3,726.00
|
|
|
Service Code
|
HCPCS 22210
|
| Min. Negotiated Rate |
$1,160.64 |
| Max. Negotiated Rate |
$13,048.08 |
| Rate for Payer: Aetna Commercial |
$2,338.11
|
| Rate for Payer: Aetna Medicare |
$1,814.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,338.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,512.60
|
| Rate for Payer: BCBS Complete |
$1,218.67
|
| Rate for Payer: BCBS MAPPO |
$1,744.86
|
| Rate for Payer: BCBS Trust/PPO |
$13,048.08
|
| Rate for Payer: BCN Commercial |
$2,885.69
|
| Rate for Payer: BCN Medicare Advantage |
$1,744.86
|
| Rate for Payer: Cash Price |
$2,980.80
|
| Rate for Payer: Cash Price |
$2,980.80
|
| Rate for Payer: Cofinity Commercial |
$2,338.11
|
| Rate for Payer: Cofinity Commercial |
$2,512.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,744.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,832.10
|
| Rate for Payer: Meridian Medicaid |
$1,218.67
|
| Rate for Payer: Nomi Health Commercial |
$2,093.83
|
| Rate for Payer: PACE SWMI |
$1,744.86
|
| Rate for Payer: PHP Commercial |
$2,442.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,744.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,160.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,421.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,760.57
|
| Rate for Payer: Priority Health Medicare |
$1,744.86
|
| Rate for Payer: Priority Health Narrow Network |
$2,760.57
|
| Rate for Payer: Priority Health SBD |
$2,760.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,744.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,744.86
|
| Rate for Payer: UHCCP Medicaid |
$1,160.64
|
| Rate for Payer: UMR Bronson Commercial |
$1,713.96
|
|
|
PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR
|
Professional
|
Both
|
$3,100.00
|
|
|
Service Code
|
HCPCS 22214
|
| Min. Negotiated Rate |
$985.34 |
| Max. Negotiated Rate |
$17,177.60 |
| Rate for Payer: Aetna Commercial |
$1,977.81
|
| Rate for Payer: Aetna Medicare |
$1,535.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,977.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,125.41
|
| Rate for Payer: BCBS Complete |
$1,034.61
|
| Rate for Payer: BCBS MAPPO |
$1,475.98
|
| Rate for Payer: BCBS Trust/PPO |
$17,177.60
|
| Rate for Payer: BCN Commercial |
$2,222.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,475.98
|
| Rate for Payer: Cash Price |
$2,480.00
|
| Rate for Payer: Cash Price |
$2,480.00
|
| Rate for Payer: Cofinity Commercial |
$1,977.81
|
| Rate for Payer: Cofinity Commercial |
$2,125.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,475.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,549.78
|
| Rate for Payer: Meridian Medicaid |
$1,034.61
|
| Rate for Payer: Nomi Health Commercial |
$1,771.18
|
| Rate for Payer: PACE SWMI |
$1,475.98
|
| Rate for Payer: PHP Commercial |
$2,066.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,475.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$985.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,015.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,336.69
|
| Rate for Payer: Priority Health Medicare |
$1,475.98
|
| Rate for Payer: Priority Health Narrow Network |
$2,336.69
|
| Rate for Payer: Priority Health SBD |
$2,336.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,475.98
|
| Rate for Payer: UHC Medicare Advantage |
$1,475.98
|
| Rate for Payer: UHCCP Medicaid |
$985.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,426.00
|
|
